ASESSIPPI DISTRICT PROFILE

LOCATION AND DEMOGRAPHICS

LOCATION Asessippi district is located in the South zone in the central western section of the PMH region. It is bordered by the Asessippi Provincial Park in the north and Riding Mountain National Park in the northeastern corner. It extends from the Town of Hamiota in the southeast corner to the Saskatchewan border in the west.

DEMOGRAPHICS Population1: 11,257 Land Area2: 6,431 km2 Density: 1.8 persons/km2

FACILITIES Russell District Health Centre and Russell PCH, Hamiota District Health Centre, Birtle Health Centre and Health Centre

COMMUNITY HEALTH Public Health, Home Care, Mental Health, Primary , Emergency SERVICES Medical Services

DID YOU KNOW? Asessippi has the lowest prevalence of Hypertension, Ischemic Heart Disease and Congestive Heart Failure in  Prairie Mountain Health  Asessippi has the lowest prevalence of mood and anxiety disorders in PMH Less than 75% of Asessippi heart attack (AMI) patients receive a post AMI beta blocker prescription within four ! months  Asessippi has a significantly higher rate of unplanned hospital readmissions  Less than half of Asessippi residents diagnosed with asthma receive medication for long term control SOCIAL AND ECONOMIC INDICATORS COMPARED TO PMH

CHILDREN IN LIFE FEMALE: 82.2 < 83.3 YEARS LOW INCOME 15.8% < 21.8% EXPECTANCY3 MALE: 76.0 < 78.3 YEARS 4 FAMILIES

MEDIAN HOUSING TENANT: 23% < 30% HOUSEHOLD $51,314 < $54,014 AFFORDABILITY5 OWNER: 9% < 10% 4 INCOME

EDUCATION UNEMPLOYMENT 19% > 17% 5.8% < 6.6% LEVEL4, 6 RATE4

NOTES

1 2 Health Population Reports, 2018 Land area excludes the unorganized territories. To learn more, check out the complete 3 Manitoba Centre for Health Policy RHA Indicators Atlas, 2019 4Statistics Canada 2016 Census Community Health Assessment Report 5Housing affordability is the percentage of households spending 30% or more of total household income on shelter costs. 6Aged 25-64 without a high school diploma at: prairiemountainhealth.ca/CHA-2019

DISTRICT PROFILE INDICATORS ASESSIPPI

The chart below shows how the health of the people in this district compares with the rest of Prairie Mountain Health. The districts result for each indicator is shown as a vertical bar. The PMH rate is shown as a blue vertical bar at the centre of the chart. The range of results for all of PMH is shown as the grey shaded area. The colour of the horizonal bar for both the district and PMH values indicates whether the value is significantly lower (green), significantly higher (red) or not significantly different (yellow) to the Provincial average.

COMPARED TO PROVINCIAL AVERAGE BETTER THAN SIMILAR TO WORSE THAN

PMH RANGE PMH VALUE

INDICATOR PMH DISTRICT PMH PMH BEST WORST 1 Premature Mortality Rate 2.79 3.43 2.17 4.49 2 SEFI (-5 to +5) 0.06 0.17 -0.48 1.46 3 Material Deprivation (-5 to +5) 0.14 0.27 -0.43 1.65

Community 4 Social Deprivation (-5 to +5) 0.39 0.29 -0.37 2.79

5 Hypertension Prevalence 22.8% 19.5% 19.5% 24.8% 6 Ischemic Heart Disease Prevalence 8.7% 6.7% 6.7% 17.1% 7 Congestive Heart Failure Prevalence 1.5% 0.8% 0.8% 2.4%

Conditions

Cardiovascular Cardiovascular 8 Heart Attack Rate 3.24 3.52 2.33 6.44 9 Stroke Rate 2.13 2.35 1.46 3.01

10 Diabetes Prevalence 10.1% 8.9% 7.3% 13.0% 11 Respiratory Morbidity Prevalence 12.9% 8.5% 8.0% 20.6% 12 Child Asthma Prevalence 16.7% 17.8% 10.8% 22.7% 13 Arthritis Prevalence 22.0% 21.5% 17.6% 27.8%

Other Conditions Other 14 Osteoporosis Prevalence 4.1% 3.7% 3.1% 6.1%

15 Mood & Anxiety Disorders Prevalence 26.0% 15.7% 15.7% 39.7% 16 Substance Use Disorder Prevalence 6.7% 6.0% 4.6% 10.1%

Illness

Mental Mental 17 Dementia Prevalence 8.8% 7.2% 5.7% 14.8%

18 Hospitalizations for ACS Conditions 8.5 11.5 4.8 17.7 19 Continuity of Care 69.7% 73.2% 81.8% 50.8% 20 Hospitalization Rate 103.7 116.9 77.9 159.5

Hospital and and Hospital Physician Use 21 Hospital Readmission Rate 9.1% 12.0% 5.9% 12.2%

22 Post AMI Beta Blocker Rx 81.2% 74.7% 89.8% 72.3% 23 Antidepressant follow-up 52.4% 40.4% 61.8% 38.1% 24 Asthma Medication Use 61.7% 47.4% 72.8% 47.4% 25 Diabetes Eye Exams 44.5% 38.8% 51.3% 36.8%

Quality of Quality Care 26 Benzodiazepine Prescribing 22.4% 24.5% 16.7% 27.4%

27 Composite Indicator 0-100 50 53 35 69

Indicator Notes 1. Age & Sex Adjusted Average Annual Premature Mortality Rate 2012-2016, per 1000 age 0-74 2. Socioeconomic Factor Index (SEFI), Canadian Census 2016 3. Material Deprivation, Canadian Census 2016 4. Social Deprivation, Canadian Census 2016 5. Age & Sex Adjusted Hypertension Prevalence 2016/17, age 19+ 6. Age & Sex Adjusted Ischemic Heart Disease Prevalence 2012/13-2016/17, age 19+ 7. Age & Sex Adjusted Annual Average Congestive Heart Failure Prevalence 2011/12-2016/17, age 40+ 8. Age & Sex Adjusted Rates of Acute Myocardial Infarction 2012-2016, per 1000 age 40+ 9. Age & Sex Adjusted Rates of Stroke 2012-2016, per 1000 age 40+ 10. Age & Sex Adjusted Diabetes Prevalence 2014/15-2016/17 (all ages) 11. Age & Sex Adjusted Total Respiratory Morbidity Prevalence 2016/17 (all ages) 12. Age & Sex Adjusted Asthma Prevalence 2015/16-2016/17, age 5-19 13. Age & Sex Adjusted Arthritis Prevalence 2015/16-2016/17, age 19+ 14. Age & Sex Adjusted Osteoporosis Prevalence 2016/17, age 50+ 15. Age & Sex Adjusted Mood & Anxiety Disorders Prevalence 2010/11-2014/15, age 18+ 16. Age & Sex Adjusted Substance Use Disorder Prevalence 2010/11-2014/15, age 18+ 17. Age & Sex Adjusted Dementia Prevalence 2010/11-2014/15, age 55+ 18. Age & Sex Adjusted Rates of Hospitalizations for Ambulatory Care Sensitive Conditions 2016/17, per 1000 age 0-74 19. Age & Sex Adjusted Continuity of Care (> 50% visits to same physician) 2015/16-2016/17, all residents with 3+ visits in 2 yrs 20. Age & Sex Adjusted Inpatient Hospital Separation Rates 2016/17, per 1000 21. Age & Sex Adjusted Percent of Hospital Episodes with a Readmission within 1-30 days 2016/17 22. Proportion of AMI patients with a Beta Blocker Rx within 4 months, 2012/13-2016/17, age 20+ 23. Crude Proportion of Newly Depressed Patients with Appropriate Follow-up Care 2012/13-2016/17 (newly depressed patients all ages) 24. Crude Proportion of Asthmatics with Appropriate Long-term Medications 2016/17 (asthmatics all ages) 25. Crude Proportion of Diabetics who had an Eye Exam 2016/17 (diabetics age 19+) 26. Crude Proportion of Community-Dwelling Seniors with Inappropriate Benzodiazepine Rx 2015/16-2016/17, age 75+ 27. A Composite score of Indicators 1-26 scored 0-100 (lower is better)